HomeMy WebLinkAboutHAZARDOUS WASTE February 9, 1999
FIRE CHIEF Costco
RON FRAZE
3101 Gilmore
~U,N~S~TrV~ Sa~WCES Bakersfield, CA 93308
2101 'H' Street
Bakersfield, CA 93301
VOICE (805) 326-3941
FAX (805) 395-1349 RE: Compliance Inspection
SUPPRESSION SERWCES Dear Underground Storage Tank Owner:
2101 *H' Street
Bakersfield. CA 93301
VOICE (805) 326-3941
FAX (805) 395-1349 The city will start compliance inspections on all fueling stations
within the city limits. This inspection will include business plans,
PRE~nON SER~¢ES underground storage tanks and monitoring systems, and hazardous
1715 Chester Ave.
Bakersfield, CA 93301 materials inspection.
VOICE (805) 326-3951
FAX (805) 326-0576
To assist you in preparing for this inspection, this office is
ENVIRONMENTAL SERVICES enclosing a checklist for your convenience. Please take time to read this
1715 Chester Ave.
Bakersfield, CA 93301 list, and verify that your facility has met all the necessary requirements to
VOICE (805) 326-3979
be
in
FAX (805) 326-0576 compliance.
T~.~.G ~)~s,o. Should you have any questions, please fee] free to contact me at
5642 Victor Ave,
Bakers~eld, CA 93308 805-326-3979.
VOICE (805) 399-4897
FAX (8O5) 399-5763
Sincerely,
Steve Underwood
Underground Storage Tank Inspector
Office of Environmental Services
SBU/dm
enclosure
City of Bakersfield
Office of Environmental Services
1715 Chester Ave., Suite 300
Bakersfield, California 93301
(805) 326=3979
An upgrade compliance certificate
has been issued in connection with
the operating permit for the
facility indicated below. The
certificate number on this facsimile
matches the number on the
certificate displayed at the facility.
Instructions to the issuing agency: Use the space below to enter the following information in the tbrmat of
your choice: name of owner; name of operator; name of facility; street address, city, and zip code of facility:
facility identification number (ti'om Form A); name of issuing agency; and date of issue. Other identifying
intbrmation may be added as deemed necessary by the local agency.
This permit is issued on this 2na day of November, 1998 to:
COSTCO WHOLESALE INC
Permit #015-021-001105
3101 Gilmore Ave
Bakersfield, Californiia 93308
'~St~te of C~orma - D~ut~ot' To~c ~ ~
ONSITE W, TE T ATME NOTI CATION
FACILI~ SPECIFIC NO~FICA~ON
For U~ by H~rdo~ W~te Genemto~ Peffo~g Tr~tment ~ ~tial
Under Conditio~ Exemption ~d Conditio~ Authofi~tion, ~ Revi~
~d by Pe~t By Rule Faciliti~
P~e r~ to t~ ~tached l~t~aio~ b~ore ~mp~ing th~ fo~. You ~ ~t~for ~re t~ o~ ~iuing ti~ ~ ~ing th~
~t~c~ion fo~, D~C I~. You m~t ~ta~ a separ~e unit s~c~c ~t~c~ion fo~ for ea~ unit ~ th~ bc~iom ~e ~e
d~erent unit s~c~c not~ion fo~ for ea~ of the four cmegoff~ ~ ~ ~ditio~l ~t~c~ion fo~ for ~a~n~ tremont
units ~'s). You on0 ~ve to s~mit fo~ for the ti~-($) th~ ~ ~ur unit(s). D~d or reqc& t~ ot~ un~ fo~.
N~ ea& page of ~ ~mp~M ~t~c~ion pa~ge ~ iMic~e t~ wtal n~ of ~g~ ~ t~ top of ea& page ~ t~
'Page ~ of ~ Pm your EPA ~ N~ on ea~ ~tge. P~e pro~e all of t~ info--ion requ~tM; all fie~ m~t be
completM ~c~t those t~ stye 'ff d~em' or 'ff ami~le'. P~e ~e the info--ion pro~ on th~ fo~ ~ a~
~ta~ms.
~ ~t~c~ion will ~t be ~ed ~mp~e withom pt~mem oft~ appropH~efeefor ea~ ti~ u~ whi& you are operming.
~e ~te t~ t~ fee ~ p~ ~ ~t ~ UN~. For ~, ff ~u opine 5 un~ bm t~ ~e MI ~Mitio~O A~,
you on~ ~e $I,I~, N~5 ~ $1,1~. If you op~,~ ~ P~it ~ Ru~ uni~ ~ ~ ~im ~ ~Mitio~l Am~Hz~ion
you owe $2,~.) ~e~ shouM be ~e ~ to the D~m of T~c 8~st~ ~mrol ~ ~ stap~ to the top.of th~
fo~. P~e ~te ~ur EPA ~ N~ on t~ ~ .Fill in t~ ~ n~ in t~ ~x ~.
I. N~CATION CA~GO~
IMi~e t~ n~ of ~i~ you o~me in ea& ti~. ~ ~ll a~o ~ ~ ~ of ~t ~fic ~t~onfo~ ~u m~t ~q~.
N~ of ~.~d a~ ~t' s~c no~fio~m F~ ~ Ti~
(~t ~ ~0
A. ~n~fio~y ~t4~ ~fi~ T:~t (Fo~ .DTSC 177~) $ 1~
B.' . ~ . ~n~fio~y ~e~t-S~ifi~ ~~ ffo~ DTSC 177~) ' $ 1~
For DTSC Use Only
COUNTY ~ ~?/' ~q
~ N~) ~ Na~)
DTSC 1772 (1193) Page 1
MAILING ADDRESS, IF DIFFERENT:
CITY ~(~l;k[~l,x~ STATE~tpr ZIP C/~'OJ3 -
COUNTRY
(o~ly ¢ompl¢~ if ~ USA)
~ Na~) ~ Na~)
III. TYPE OF COMPANY: STANDARD INDUSTRIAL CLASSIFICATION (SIC) CODE:
Use either one or two SIC codes (a four digit number) that best describe your company's.products, services, or industrial activity.
Example: 7384 Photo~inishin~ lab 3672 Printed circuit boards
IV. PRIOR PERMIT STATUS: 'Check yes or no to each question:
YES NO ·
l~! ' 1. Did you file a PBR Notice of Intent to Operate (DTSC Form 8462) in 1992 for this'location?
~ 2. Do You now have.or have you ever held a stale or federal hazardous waste facility full permit or interim
status for any of these treatment lmits?
[~[ 3. Do you now have or have you ever held a state or federal full permit or interim .status for any other
hazardous waste activities at this location?
[--] [~ 4. Have you ever held a variance issued by the Department of Toxic Substances Control for the treatment you
ar= now notifying f6r at this local:ion?
[~l [--~ 5. Has this location ever been insl~:ted by the state or any local agency as a ha?ardous waste generator?
V. PRIOR ENFORCEIVIENT tIISTORY: Not re~'dred from gentratora only notifying as conditionally tmmWt.
YES NO : .....
l~ Within the last three years, has this facility beea the subject of any convictions, judgments, settlements, or final
orders resulting from an action by any lo~.~d, state, or federal environmental, baTardous waste, or public health
enforcement agency?
(For. the purposes of this form, a notice of violation does not constitute an order and need not be reported unless
it was not corrected and became a final order.)
If you answered Yes, check this box and attach a listing of convictions, judgments, settlements, or orders and a copy
of the cover sheet from each document. (See the Instructions for more information)
DTSC 1772 (1/93) Page 2
VI. ATTACHMENTS:
[~ 1. A plot plan/map detailing the location(s) of the covered unit(s) in relation to the facility boundaries.
~rl 2. A unit specific notification form for each unit to be covered at this location.
VII. CERTIHCATIONS: This form must be signed by an authorized corporate officer or any other person in the company who
has operational control and performs decision-making functions that govern operation of the facility (per title 22, California
Code of Regulations (CCR) section 66270.11). All three copies must have original signatgres.
Waste Minimization I certify that I have a program in place to reduce the volume, quantity, and toxicity of waste generated to the
degree I have determined to be economically practicable and that I have selected the practicable method of treatment, storage, or
disposal currently available to me which minimizes the pre, mt ar/d future threat to human health and the environment.
Tiered Permittine Certification I certify that the unit or units described in these documents meet the eligibility and operating
requirements of state statutes and regulations for the indicated permitting tier, including generator and secondary containment
requirements. I understand that if any of the units operate under Permit by Rule or Conditional Authorization, I will also be required
to provide required fumacial assurances by January I, 1994, and conduct a Phase I environmental assessment by January 1, 1995.
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry
of the person or persons who manage the system, or those directly respottsible for gathering the information, the information is, to
the best of my knowledge and belief, true, accurate, and complete.
I am aware that there are substantial peualties for submitting false information, including the possibility of fines and imprisonment
for knOwing, violations.
' ~' Date S~gued / '
OPERATING REQIIIREMENTS:
Please note that generators treating hazardous waste onsite are required to comply with a number of operating requirements which
differ depending on the tier(s) under which one operates, lhese operating requirements are set forth in the statutes and regulations,
some of which are referenced in the 27er-Specific Factsheet. r.
SUBMISSION PROCEDURES:
You must submit two coplez of this completed notification by certified mail, return receipt requested, to:
Department of Toxic Substances Control
Form 1772
Onsite Hazardous Waste Treatment Unit
400 P Street, 4th Floor (walk in only)
P.O. Box 806
Sacramento, CA 95812-0806.
You must also ~ubmit one copy of the notification and attactunents to the local regulatory agency, in your jurisdiction as listed in the
instruction materials. You must also retain a copy as part of your operating record.
All three forms must have original signatures, not photocopies.
DTSC 1772 (1/93) Page 3
Date:~lq0 HAZARDOUS MATERIALS MANAGEMENT DIVISION
Thomas Bros. SITE MAP
Coordinates:
Business Name: l~r>,~o ~ ~.~o~}q~'~ ~' Emergency Coordinator:
Business Address: ~tol Cml~o~ ~ Phone Number (day) (~0~) 524 -~c)3 24/hr:
CONDITIONALLY EXEMlYr - SPECIFIED WASTESTREAMS
UNIT sPEcIFIC NOTIFICATION
(pursuant to Health an~d Safety Code Section 25201.5(c))
UNIT NAME 51'lfft'v' ~ovCQ7 '~/5/¢'t~t UNIT ID NUMBER '~ /
NUMBER OF TREATMENT DEVICES: ~ Tank(s) Container(s)
Each unit must be clearly identified and labeled on the plot plan attached to Form 1772. AsSign your own unique number to each
unit. The number can be sequential (I, 2, 3) or using any system you choose.
Enter the estimated monthly total volume of hazardous waste treated by this unit. This should be the maximum or highest amount
treated in any month. Indicate in the narrative (Section II,~ if your operations have seasonal variations.
I.. WASTESTREAMS AND TREATMENT PROC~.SSES:
Estimated MonthlY Total Volume Treated: pounds and/or '~ 0 l,~ gallons
The following are the eligible wastestreams and treatment processes. Please check all applicable boxes:
i'-] 1. Treats resins mixed in accordance with the manufacturer's instructions.
I"'! 2. Treat containers of 110 gallons or less c~pacity that contained hazardous waste by rinsing or physical processes,.
such as ernshiag,, shredding, grinding, or puncturing.
I~ 3. Drying special .wastes, as classified by the department pursuant to title 22, CCR, section .66261.124, by pressing.
-or by passive Or heat-aided evaporation to remove water.
I~] 4. Magnetic separation or screening to remove components from special waste, as classified by the department pursuant
to title 22, CCR, section 66261.124.
I'-I 5. Neutralize acidic or alkaline (base) wastes from the regeneration of ion exchange media used to demlnerali/~ water.
~I~lis. WaSte ~llnot contain more than 10 perca~t acid or bas~ by weight to be eligible for conditional exemption.)
l-] 6. Neutraliz~ acidic or alkaline (base) wastes from the food processing industry.
~ 7. Recovery of silver from photofinishing. The volume limit for conditional exemption is 500 gallons per generator
(at the same location) in any calendar mc,nth.
8. Gravity separation of the following, including the use of flocculants and demulsifiers if
[-'] a. The settling of solids from the ~,aste where the resulting aqucous/liquid stream is not hazardous.
I--] b. The separation of oil/water mixtures and separation sludges, if the average oil recovered per month is less
than 25 barrels (42 gallons per barrel).
['-] 9. Neutralizing acidic or alkaline (base) material by a state certified laboratory or a laboratory operated by an
educational institution. (To be eligible for conditional exemption, this waste cannot contain more than 10 percent
acid or bas~ by weight.)
DTSC 1772B (I/93) Page 9.
CONDITIONAI.I.Y.'EXEI~llrr -. SPECIFIED WASTESTREAMS .
UNIT SPECIFIc NOTIFICATION '
(pursuant to Health and Safety Code SeCtion 25201.5(c))
II. NARRATIVE DESCRIPTIONS: Provide a brief description of the specific waste treated and the treatment process used.
1. SPECIFIC WASTE TYPES TREATED:. h0 // 0tg~t ,q .D~/)~tb'~,~,_q~,vt~ /,O~J-E. "tL~t~L
III. RESIDUAL MANAGEMENT: Check Yes or No to each question as it applies to all residuals from this treatment unit.
YES NO
[~] [-'i 1. Do you discharge non-hazardous aqueous waste to a publicly owned treatment works (POTW)/sewer?
[~ I-~ 2. Do you discharge non-hazardous aclueous waste under an NPDES permit?
I--~ '[--I 3. Do you have your residual hazardous waste .hauled offsite by a registered hazardous waste hauler?
If you do, where is the waste- sent? Chec/c all that 'apply. '
[] ' a. Offsite recycling
l~l b. - ~1~1 treatmeat
['-I e. Disposal to land
[~] d. Further treatment
I~ 4. Do you dispose of non-haTardous solid waste residues at an offsite location?
i~i [~ 5. other method of disposal. Specify:
IV. BASIS FOR NOT NEEDING A FEDERAL PERMIT:
In order to demonstrate eligibility for one of the onsite treatment tiers,facilities are required to provide the basis for determining that
a hazardous waste permit is not required under the federal Resource Conservation and Recovery Act (RCRA) and the federal
regulations adopted under RCRA ('title 40, Code of Federal Regulations (CFR)).
Choose the reason(s) that describe the operation of your onsite treatment units:
D 1. The ha?ardous waste being treated is not a hazardous waste under federal law although it is regulated as a haTardous
waste under California state law.
[5~ 2. The waste is treated in wastewater treatment units (tanks), as defined in 40 CFR Part 260.10, and discharged to a
publicly owned treatment works (POTW)/sewering agency or under an NPDES permit. 40 CFR 264. l(g)(6) and
40 CFR 270.2.
DT$C 1772B (1/93) ':.::: : Pago 10
CONDITIONALLY EXEMPT - SPECWIED WASTESTREAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 25201.5(c))
IV. BASIS FOR NOT NEEDING A FEDERAL PERMIT: (continued)
I'-I 3. The waste is treated in elementary neutralization units, as defined in 40 CFR Part 260.10, and discharged to a
POTW/sewering agency or under an NPDES permit. 40 CFR 264.1(g)(6) and 40 CFR 270.2.
r-I 4. The waste is treated in a totally enclosed treatment facility as defined in 40 CFR Part 260.10; 40 CFR 264. l(g)(5).
[~! 5. The company generates no more than 100 kg (approximately 27 gallons) of hazardous waste in a calendar month
and is eligible as a federal conditionally exempt.small quantity generator. 40 CFR 260.10 and 40 CFR 261.5.
['='1 6. The waste is treated in an accumulation tank or container within 90 days for over 1000 kg/month generators and
180 or 270 days for generators of 100 to 1000 kg/month. 40 CFR 262.34, 40 CFR 270. l(c)(2)(i), and the Preamble
to the March 24, 1986 Federal Register.
i-'l 7. Roeyclable materials are reclaimed to recover economically significant anaotmts of silver or other pre~:ious metals.
40 CFR 261.6(a)(2)(iv), 40 CFR 264. l(g)(2), and 40 CFR 266.70.
I'--] 8. Empty container rinsing and/or treatme~tt. 40 CFR 261.7.
F1 9.
V. TRANSPORTABLE TREATMENT UNIT: Check Yes or No. Please refer to the Instructions for more information.
YES NO
Fl [] Is this unit a Trams'portable Treatment [[nit?
If you answered yes, you must also complete and attach Form 1772E to this page.
The Tier-Specific Factsheets contain .a summary of the operating requirements for this category.
Please review those requirements carefully before completing or submitting this notification package.
DTSC 1772B (1/93) Page 11
~;,~,~E OF CALIFORNIA--~ALIFORNIA ENVIRONM! ~ PROTECTION AGENCY PETE WILSON. Governor
DEPARTMENT OF TOXIC SUBSTANCES CONTROL
400 P STREET, 4TH FLOOR
P.O. BOX 806
SACRAMENTO, CA 95812-0806
(916) 323-5871
October 5, 1995
EPA ID: CAL000126996
COSTCO WHOLESALE #32/BAKERSFIELD
GLEN HUTCHINSON Initial Authorization: 05 !25/94
10809 120TH AVE NE Amendment Date: 04/24/95
KIRKLAND, WA 98033
For facility located at:
3101 GILMORE AVE
BAKERSFIELD, CA 93308
Dear Onsite Treatment Facility:
The Department of Toxic Substances control (DTSC) has received your
facility specific Amended notification (form DTSC 1772). Your
notification is administratively complete, but has not been reviewed
for technical adequacy. A technical review of your notification will
be conducted when an inspection is performed. At any time, 'you may be
inspected and will be subject to penalty if violations of laws or
regulations are found.
The Department acknowledges receipt of your completed Amended
notification for the treatment unit(s) listed on the last page of this
letter. These units are authorized by California law without additional
Department action. Your authorization to operate continues until you
notify DTSC that you have stopped treating waste and have fully closed
the unit(s). DTSC has revised its database records to reflect your
status and has notified the Board of' Equalization (BOg). You will be
billed annual fees by BOE calculated on a calendar year basis for each
year you operate and/or have not notified DTSC that the units have been
closed'.
If you have any questions regarding this letter, or have questions
on operating requirements for your facility, please contact the nearest
DTSC regional office, or this office at the letterhead address or
telephone number.
~cerely,
~Sangat Kals, PH.D., Chief
'' Tiered Permitting Compliance Section ·
.State Regulatory Program Division
cc:See next page.
~-~,TE O~'~ALIFORNIA--CALIFORNIA ENVIRONM~ L PROTECTION AGENCY PETE WILSON, Governor
DEPARTMENT OF TOXIC SUBSTANCES CONTROL ~
400 P STREET, 4TH FLOOR
P.O. BOX 806
SACRAMENTO, CA 95812-0806
COSTCO WHOLESALE #32/BAKERSFIELD EPA IDs. CAL000126996
Page 2
cc:
ASTRID JOHNSON STEVE HCCALLEY
DTSC REGION I KERN COUNTY
STATE REGULATORY PROGRAM E~IRON. HEALTH SERVICES DEPT
1515 TOLLHOUSE 2700 H STREET, SUITE 300
CLOVIS, CA 93611 B~ERSFIELD, CA 93301
STATE BOARD OF EQUALIZATION -
STEPHEN R. RUDD, ADMINISTRATOR
ENVIRONMENTAL FEES,.DIVISION ,
P.O. BOX 942879 ~
SACRAMENTO, CA 94279-0001
Units authorized to operate at this location:
UNDER CONDITIONAL EXEMPTION: #1
HAZARDOUS WASTE TREATM2ENT NOTIFICA ON FORM
FACILITY SPECIFIC NOTIFICATION
For Use by Hazardous Wasu~ Geue~a*.ors Pea-forming Truat~x~t
Uucka' Conditional Exemption and Conditional Autiorizatiom _~.____~R~__.~,
and by. Pea'mi~ By Rule Facilities
refer to the ~ I~ion~ before c~nFl,ting t~ form. You may notify/or more th~ or~ t~raini~g ~ by .,lng thi~
notifioatfon form. DT~¢ 1T'/2. ~ou muft ~ a stlJ~ naif ~j~ecifi¢ notific~ion form for ~ ~ ~t th~ ~ocation. T/u~re are
unit ~ifi¢ notifioa~on fortr~ for
(TlTJ',~ You only hay, to ~nit forr~ for th, t~r(,) t~ ~ your ~nit(,). D~rmrd or ~ tt~ od~r ~ fo~.
COMP~ N~
CO~Y
:
~ ~ 1. Did you ~* a PBR'No~m bf hmt'm ~ mTSc Fora ~2) ~' Im ~or ~ l~oh?'
~ ~ 4. ~ve you ~ h~d a v~ i~ by ~ ~t ofTo~c $~ ~n~[ for ~e ~t you
orders r~ulti~g from aa action by any local, state, or f~t~ral ~virom=~tal, ~,~,'flou.s wa..~, or pubii¢ h~alth
enforcem~t ag~¢y?
(For the purposes of this form, ,, notice of violation doe~ not constitute an order ad need not be reported un/ess
it was not eorrec~ and became a .final ord..)
If you answered Y~s, che/:k this box and amch a listing of coaviaioas, judgmeats, settlements, or orders and a
copy of the cover sheet from each document. (See the I. nstructio~ for more information)
VII. ATTACHMENTS: ~ are not requir~I for Co~ Laundry f~litit=.
E~ 1. A plot plan/map de'ailing the location(s) of the covered unit(s) in relation to the faciliq, baundar/~.
~ 2. A unit specific notification form for each unit ~ be covcr~xt az this locatioR.
DTSC 1772 (1/95) Page 2
CERT]~CATION$: Thia forrn mart be signed by an authori:ed corporate oj~cer or any other person in the company who
has operational control and perforr~.r decizion-making functiont that govern operation of the facili.? (per 7~tle 22, California
Code o.? Reg~_tc-'iona (CCR) Section 66270. I1). All three copier mu. rt have original xignaturet.
Waste .Minimization [ ~rtif'y that I have a program La place to re~uc~ the volume, quantity, and toxicity of waste geaerated to the
degree I have dr~e:'m;ned to be economically practicable and that I bare selected the practicable method of t.,'eanaent, storage, or
disposal eurready available to me which miaimizes the present anti fuau'e thxeat to humaa health and the eaviroameat.
Tiered Permittine Cerfi~cation ! c~rtif'y that the uait or uaits ,:re:scribed in the~e documeats meet thc eligibility and operating
requirements of sate r, amtes and regulations for the Ladicated l:ermitting tie~, including geaeraxor aad __~ec_~_ndary eontainmeat
requiremeats. I ua~d fi:mt if any of the units operaxe under Per, it by Rule or Conditional Auflaorization, I will also be required
to provide requir~ fiaan¢ial assur~ee for closure of the treat, meat uait by January I, 1995.
I ee:xif7 trader peaalty of law that this docu=eat and aL1 anachna~e~ were prepared under my dire~ion br supervision ia accordance.
with a system de~gnect rz asa'ure that qualified persoaael properly gather md evaluate the information submit:ed. Based on my iaquiry
of the ~ or ?er~m who manage the r/stem, or those directly responsible for gathering the izfforma:ion, the iaformat/oa is, to
the b~ of my knowledge and belief, true, accurate, and complete.
I am awar~ that ~arc ar~ su~,~tial penalties for subcaictiag false iafom~ion, including thc posa'ibility of ~u~s and k~risonmeat
for kaowing vioL~ioas.
Glen Hu~:ch~nson ~inilab Opera~:ions Hanage~
Nan~ (P~t or T.vp~' ' //~ Title
OPERA~G R~Q~...NTS:
Please note thru generator~ treating hazat~as wa.rte oasi:e are ~q:~ m ~ly ~ a n~ of op~ing re~~ whi~
diff~ ~ng on '~ a~). ~e o~ing ~q~ ~e ~ forth ~ ~ ~ ~ regu~, ~o~ of wM~ ~e
ref~ in t~ ~fic Fa~ ~ a~ ~m the D~'s regb~ ~ ~~ o~.
~5~ON ~0~~:
You m~t ~ ~ ~ of th~ mmp~ ~t~c~ion ~ c~t~ ~1, ~ ~pt ~q~, to:
D~~ of To~c S~:~c~ ~l
~og~ D~a M~g~e.~
~ P 5~e~, 4th ~r, R~m ~53 {wa& in on(v)
P.O. ~x~
~~o, CA 95812~.
You ~ a~o ~ o~ ~ of t~ ~t(~ion ~ ~a~e~ ;a ~e ~cal r~ agen~ in yo~ ju~diaion ~ ~t~ in
3ppe~r 2 of t~ i~ion m~eNa~. You m~ abo retain a ~ ~ p~ of ~ owning re~r~
DTSC 1772 (I/95') Page
~ NO
~ c. Oi~ to ~d
~ d. Fu~er t~t~t
DTSC 177RB (I:'95) Page I1
CONDITIONALLY EXEMPT - SPECIFIED WASTESTREAMS
UNIT SPECIFIC NOTIFICATION
(pu~uaat to Health and S~.fety Code Section 25201.5(c))
IV. BASIS FOR NOT NEEDING A FEDERAL PE1LMIT:
In order to demonstrate eligibility for one of the onsite treatment tierL facilities are required to provide the basis/or determining
that a hazardous waste permit is not required under the federal Resource Conservation and Recovery Act. (RCRA} and the federal
regulations adopted under RCRA ('l~tle ~0, Code of Federal Regulation~ (CFR)}.
Choose the reason(s} that describe the operation of your onsite treatment uni~:
I~] 1. The h-~,'dous waste being treated is not a h-~rda~ waste under federal law aRhough it i~ regulated as a b-~ous
wasu~ under California state law.
2. The waste is treated in wastewater treatment maim (tanks), as de,ed i~ 40 CFR Part 260.10, and di..~harg~ to a
publicly owned treatrrant works (POTW)/sewering agency or Uader aa NPDF_.3 permit, a0 CFR 264. l(g)(6) and
40 CFR 270.2.
["1 3. The waste is treated ia elementary -eutralization anits, as d¢fiuefl in 40 CFR Part 260. I0, and discharged to a
POTW/seweriag ag~¢y or under an NPDES t~rmit. 40 CFR 264. l(g)(6) and 40 CFR 270.2.
l~ 4. The waste is treated in a totally ea¢losed treatmeat facility a.s defined in 40 CFR P~ 2~. 10; ~ ~ ~.1~)(5).
[--] 5. The company generates no mor~ than I00 kg (approximately 27 gallons) of hazardous wasm in a ealeadar month
and is eligible as a federal conditionally exempt small quantio/generaxor. 40 CFR 260.10 and 40 CFR 261.5.
[~] 6. The waste is treated in an accumulation tattle or container witkin 90 days for over 1000 kg/month geaerators and
180 or 270 days for generators of 100 to 1000 kg/month. 40 CFR 262.34, 40 CFR 270. I(¢)(2)(0, and the Preamble
to the Mar~h 24, 1986 Fedea'al Register. ..
7. Recyclable materials ~ reclaimed m recover economically significant amount~ of silver or other precious meaals.
40 CFR 261.6(a)(2)(iv), 40 CFR 264.1(g)(2), and 40 CFR 266.70.
["] 8. liimpty container rinsing and/or treatment. 40 CFR 261.7.
V. TRANSPORTABLE TREATS~NT UNIT: Che~ g~ or No. Pl~.r~ refer to tht Instructions for mor~ t~'ormation.
YES NO
~-.~ ~ I$ thi, unit a Tran~lx>rtable Treatm~t Unid
If you am-wered yes, you must also complete and attach Form 1772E to th~ page.
r)TSC 17'T2B (II95~ Page 12 ~
~' ~ ThomasDate: ~'B ros. q6~ HAZARDOUS MATERIALSsiTE MAMANAGEMENTp DIVISION
Coordinates:
~ Business Nar~e: _ 1~-4~ O,.)5;'17~D -fis~e~3~qdd~2- ~e~ency ~rdinaton ~a~ ~ii~
Busings AddresS( __ 310 [ ~ ~il ~ 0~ ~, Phone Num~ (~y) ~.~J$2~lqO . ~lh~
' I
fO ~ ~ : .....
For Petit by Ru~e, Conditionally Authorized, and Conditionally Exempt Not~er~
I certify ufider penalty of law that:
1. Respondent has corr~t~l the violations specified in the notic~ of violation cited
above.
.. ~,-.-- 2. I have personally examined any documenmion attached to the certification to
establish that the violations have b~ers corrected.
3. Bas~ on my ~xaminadon of the attached documentation and inquiry of the
-- individuals who prepared or obtained it, I believe that the information is true,
ac, curate, and complete.
4. I a.m authorized to file this certification on behalf of the Respondent,
5. I am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations.
(Print or Type)
Sacramento, CA 95827
CHECKLIST AND INSPECTION REPORT FOR
Permit by Rule, Conditionally Autliorized, and Conditionally Exempt Notifiers
PHYSICALADDRESS: 31Ol (~i [ ~re five. ~b~raf/~l~ C/~.
COUNTY t/¢rt~ PHONE:
FACILITY CONTACT-NAME: 6',%c (~- /)z,f~ ~.. SIC CODE(S):
UNIT COUNT: PBR CA CESW ! .... CESQT .. TOTAL !
UNIT COU/qT(notified): PBR CA CESW CESQT TOTAL ..
INSP~ON DATE: /-]/~c i / '~/~ /?~'~ # ,of VIOLATIONS: .. Minor Class 1
VIOLATION TYPE: Onsite treatment _....~Generatnr Waste min. Recycling
NOTICE to COMPLY ISSUED (y/n): %~ Local Agency # .
This checklist ~md inspection report iflemi/y violafio~s of state law regarding omlte treaters of hazarflous waste~'oper~,~ng
under ~ onsite pert~t*ing tier. This impectio-, verifies the information provided o~, form DTSC 1771. It also covers generator
requirements, ~lthough a separate checklist may be used for those requirements. A checkmark indicates violation of the law, which
are explained i~ more detail on the arrayed m~e sheets ~nfl Notice to Comply. The governing laws are the Health ~nd Safety Code
(HSC) ~ud Title 2~ of the California Code of Regulation~ (2~ CCR).
Generator Standards:
...... Each i~pection agency may uae their own 8en~rator i~spection checklist or iorotocoir, ~vhich are summarized below. A full
evaluation of each item or document ir not conduced during tt~ Inspection, unless serious deficiencies are suspected.
NC) '
~ 1. Contingency plan has been prepared (adequately minimize releases, has alarm/communicatiOn
~ system, lists emergency equipment and phone numbers for emergency coordinators).
..~ 2. Written training documents and records prepared for employees handling ha?ardous waste.
3. Meet container management standmrds (storage time limits, closed, labelled, compatibility,
inspected weekly, in good..condition, with ignitables/reactives 50 feet from property line).
4. Meet tank management standards (either secondary containment or integrity assessments, plus
storage time limits, labelled, compatibility, inspected daily, in good condition, with
ignitables/reactives 50 feet from property line).
5. All wastes are properly identified.
~rreatment Items-Facility Wide: ~aciliry mus~ suZmlt.~ revised Form 1772 to correct errors or omirsions.)
6. All units under PBR, CA, and CE are properly indicated on Form DTSC 1772. (Add any new
units with unit sheets or correct tier on the unit sheet.)
7. All generator identification information on 'Form DTSC 1772 is correct.
8. The submitted plot plan/map adequately shows the location of all regulated units.
9. There are records documenting compiliance with sewer agency pretreatment standards and
industrial waste discharge requirements, where applicable.
v/ 10. Generator has prepared/maintained seurce reduction documents requirements (SB 14/SB 1726).
For many.wastes, a checklist or plan is required ~nly if annual hazardous waste volume is over
5,000 kilograms (approx 11,000 pounds or 1,350 gallons). HSC 25244.15, 25244.19-.21
For CA or PBR notifiers:
11. The generator has an annual waste minimization certification. (PBR submit with renewals.)
Onsite Checklist (A) Page 1 of / ~. January 1, 1995
RE610N ~-~0~ 6roydon Way.
Sacramento, CA 95827
Pe~t by Rule, Con~tio~y Auflm~d, and Con~tio~Hy ~empt Not~e~
~ S~ET
Complete one unit sheet for each unit either listed in the notification or identified during the inspection.
Unit Number:. ~/ Unit Name:__ ~-/.,-,,- f,~¢c,¢cr7 -~?/,--
Notified Tier: ¢ ~ Correct Tier:.
Notified Device Count: Tanks ~ .Containers
Correct Device Count: Tanks -4~ Containers
For each Unit:
12. All hazardous wazte~ treated are generated onsite.
~ 13. The unit notification is accurate az to the number of tank(s) and/or container(s).
14. The estimated notification monthly treatment volume is appropriate for the indicated tier.
.... 15. The waste identification/evaluation is appropriate for the tier indicated.
16. The wastestream(s) given on the notification form are appropriate for the tier.
17. The treatment process(es) given on the notification form are appropriate for the tier.
18. The residuals m~anagement information on the form is correct and documented for the~unit.
-- 19. The indicated basis for not needing a federal permit on the notification form is correct.
/ 20. There are written operating instructions and a record of the ~.at~s, volumes, residual
management, and type~ of waste~ treated in the unit.
/ 21. There is a written inspection sched,le (containers-weekly and tanks-dali.y).
~ 22 There is a written inspection log main~ned of the inspections conducted.
23. If the unit has been closed, the generator has notified DTSC and the local agency of the
closure.
For each CA or PBR unit:
24. The generator haz secondary Containment for treatment in containers,
For each PBR unit: 25. There is a waste analysis plan
26. There axe waste analysis records.
27. There is a closure plan for the unit.
Unit Comments/Observations: (If this is a unit that was not included on the notification form, the violation is operating without a
permit-H$C 25201(a). Also note if the activity ir curremly inei~gible for onsite author~.ation.)
Onsite Checklist 03) '"" Page / of / January 1, 1995
~EPARVMENT-O~ TOXIC ~J~C~S
REGION 1-10151 Cro~den Way, Suite ~
Sacramento, CA 95827
~C~T ~ ~L ~~C~ON ~SPEC~ON ~RT FOR
Pe~t b~ ~ule~ Con~tio~By Autho~d~ ~nd Conditio~]~ ~empt Not~e~
SIGNA~ S~ET
28. The appropriate local agency has been notified. HSC 25143.10
29. Activities claimed under the onsite recycling exemption are appropriate. HSC 25143.2 et sec.
Releases: If there has been a release, provide the foll~ng information' number of releases, date(s). ~peis) a~d quantity of
materialsAvaste, and the cause(s). Use unit sheer or attach additional pages.
30. Within the last three years, were there any unauthorized or accidental' reieases to the
environment of hazardous waste or lhazardous waste constituents from onsite treatment ~nits?
31. Within the last three years, were there any unauthorized or accidental releases to the
environment of hazardous waste or bn~rdous waste constituents from any location at this
facility?
For purposes of a Tiered Permitting inspection, an unauthorized and/or accidental release to the
environment does not include spills contained within containment systems.
This report may identify conditions obser,~ed this date that are alleged to be violations of one or
mom-sections at the California Health and Safety Code (HSC) or the California Code of Regulations,
Title 22 (22 CCR) relating to the management of hazardous waste. The violations may be described in
more detail on the attached note sheets. If any violations are noted, the facility is required to the submit
a signed Certification of Return to Compliance within 30 days, unless otherwise specified. (A certification
form is provided.) If any corrections are needed 'to the initial notification, the facility will submit a revised
notification within 30 days to the Department of Toxic Substances Control with a copy to the local
enforcement agency.
Inspector(s):
Signature: Pao,,.:O ~ ~'dc,..-~- Signature:
Print Name: P,~,}4o d. ~'/~,,,~,~/-o. ]?tint Name:
Phone Number: ~,o r) 2~ 7. wv~'o Phone Number:
Facility Representative:
Your signature acknowledges receipt of this report and does not imply agreement with the f'mdings.
/
Title:
Onsite Checklist (C) Page / of... 1., January 1, 1995
/
DEPARTMENT OF TOX;C S;J;~CE$ CO~T
~OL
REGION 1-10151 C~oydon Way, Suit~ 3 ~
~cramenm, CA 95827
CHECKLIST AND INFFIAL VERI~CATION IN~PF~TION REPORT FOR
Permit by Rule, Conditionally Aufl~orized, and Conditionally Exempt Notifiers ....
NOTE SHEET
This sheet includes inspector observations and exl~ands upon the violaEons identified on the checklist (by number). In
some cases, it indicates how the facility should correct the violations. It a/so includes the names of any others participating in
this inspection.
Onsite Checklist (D) Page__ of ,'- January 1, 1995
STATE OF CAMFORNIA--CALIFORNIA ENVIRONMEf~N AGENCY~. PETE WILSON, Governor
DEPARTMENT OF TOXIC $ YES CONTROL
400 P STREET, 4TH FLOOR
P.O. BOX 806
SACRAMENTO, CA 95812-0806
(916) 323-5871
05/25/94
EPA ID: CAL000126996
COSTCO WHOLF~ALE CORP/COSTCO//32 For.fac/J~ kxxm~d at:
PAUL LATHAM
10809 120TH AVE NE 3101 GILMORE AVE
KIRKLAND, WA 98033 BAKERSFIELD, CA 93308
Authorization Date: 05/25194
Dear Conditionally Authorized and/or Conditionally Exe~pt Facility:
ACKNOWLEDGEMENT OF UNITS OPERATING UNDER CONDITIONAL AUTHORIZATION AND/OR
CONDITIONAL EXEMPTION
The Department of Toxic Substances Control (D'FSC) has received your facility specific notification (form
DTSC 1772) nnd forms for Conditional Authorization and/or Conditional Exemption for Specified Wastestreams (form
DTSC 1772B and/or 1772C). Your notifications are administratively complete, but have not been reviewed for technical
adequacy. A technical review of your notifications will be conducted when an inspection is performed. At any time,
you may be inspected and will be subject to penalty if violations of laws or regulations are found.
The Department acknowledges receipt of your completed notification for the treatment unit(s) listed on the last
page of this letter. These units operating under Conditional Authorization or Conditional Exemption are authorized by
California law without additional Department action, pur~aant to Health and Safety Code sections 25200.3 and 25201.5.
Your authorization to operate continues until you notify DTSC that you have stopped treating waste and have fully closed
the unit(s). You will be charged annual fees calculated on a calendar year basis for each year you operate and have not
notified DTSC that the units have been closed.
You must notify the DTSC 60 days before first t~v. ating hn~'nrdous wastes in any new unit. You must also
notify the DTSC whenever any of the information you provided in these notifications changes. To revise information,
mail a cover letter to the above address explaining the changes, attach only the pages of your notification package that
have changed, and re-sign and date at the signature space on page 3 of form 1772.
Your status to operate under Conditional Authori;,.ation and/or Conditional Exemption is contingent upon the
accuracy of information submitted by you in the notifications mentioned above, and your compliance with all applicable
requirements in the Health and Safety Code. Any misrepJ~entation or any failure to fully disclose all relevant facts
shah render your authorization to operate null and void.
You are also required to properly close any treat~nt unit. Additional guidance on closure will be issued and
distributed to ~11 authorized oosite facilities later this year. .
Printed on Recycled Paper
Page 2 EPA ID: CAL000126996
If you have any questions regarding this letter, ,or have questions on operating requirements for your facility,
please contact the nearest DTSC regional office, or this .office at the letterhead address or phone number.
Mictmel S. Homer, Chief
Onsite Hazardous Wmt~ Treatment Unit
perufit Streamlining Branch
Hazardous Waste Management Program
Enclosure
cc: SUSAN LANEY
· DTS¢ REGION 1
SURVEILLANCE & ENFORCEMENT BR.
10151 CROYDON WAY, SUITE 3
SAC~,M~.~ro, CA 95827
STEVE MCCALLEY
KERN COUNTY
ENVIRON. HEALTH SERVICES DEPT
2700 M STREET, SUITE 300
BAKERSFIELD, CA 93301
Page 3 EPA ID: CAL000126996
ENCLOSURE 1
UNDER CONDITIONAL AUTHORIZATION:
UNDER CONDITIONAL EXEMPTION:
#1
I ChcckNumber 4'?~, ?.~"'77 -- ~ ~ Page I of'
ONSITE W TE NOTI CATION
~ For U~ by H~rdo~ W~te Gene~tom Peffo~g Tr~tment ~ ~tial
~~ Under Conditio~ Exemption ~d Conditio~ Au~ofi~tion, ~ Revi~
~ ~d by Pemfit By Rule Faciliti~
P~e r~ to t~ ~tached l~t~io~ b~ore ~mp~ing thi~ fo~. You ~ ~t~for ~re t~ o~ ~itting ti~ ~ ~ing th~
~t~c~ion fo~, D~C 1 ~. You m~t ~ta~ a se~e a~nit s~fic ~t~c~ion fo~ for ea~ ~it ~ th~ ~c~iom ~e ~e
d~erent unit ~c~c not~c~ion fo~ for ea~ of the four ~tego~ ~ ~ ~itio~l ~t~ion fo~ for ~n~ tremont
units ~'s}. You onO ~ve to s~mit fo~ for t~ ti~(s~l t~ ~ ~ ~a(s}. D~ or re~c~ t~ ot~ ~ fo~.
N~ ea~ ~ge of ~ur ~mp~ ~t~c~ion ~ge ~ i~e t~ total n~ of ~g~ ~ t~ top of ea~ ~ge ~ t~
'Page ~ of ~'. P~ your EPA ~ N~ on ea~ ~ge. P~e pm~ all of t~ info--ion requ~; all fie~ m~t be
complet~ ~t t~se t~ stye '~ d~ere~' or '~ availed'. P~e ~e t~ info--ion p~ on th~ fo~ ~ a~
~ta~s.
~ ~t~c~ion will ~t be ~ed ~mpl~e witho~ p~e~ of t~ approp~efeefor ea~ ti~ ~ whi~ ~u are o~r~ing.
~e ~te t~ t~ fee ~ p~ ~ ~t ~ ~N~ For ~, ~u opine 5 ~ b~ ~ ~ ~ ~Mitio~ ~~,
you on~ owe $1,1~, N~5 ~ $1,1~. ~u o~e a~ P~it ~ Ru~ ~ ~ ~ ~i~ ~ ~itio~lA~ion
~u owe $2,~.) ~e~ shouM ~ ~e ~ to t~ Dt~ of T~c S~~ ~l ~ ~ st~ to t~ top of th~
fo~ P~e ~te ~ EPA ~ N~ on ~ ~ FiJ~ in t~ ~ ~ in t~ ~ ~.
I. N~CATION CA~GO~
IMi~e t~ n~ of ~i~ you o~ein ea& ti~. ~ ~ll a~o ~ t~ ~ of ~t ~fic ~t~nfo~ ~u m~t ~a~.
N~ ~ ~ ~d a~ ~ts~c ~fiom F~ ~ Ti~
~ ~ ~t)
A. ~n~6o~y ~x~t~ ~d~ T~t (Fo~ DTSC 177~) $ 1~
I n ao ]y , t-s ifi ?sc z*7 ) ·;
~A m N~BER CA g ~ .0 ~ ~ ~_ ~ ~ ~?*O~ NUMBER (if .v~lable) H~H~ ~ O 0 ~ ~
~BA-~ ~m~ ~) '
~ __ Il:or DTSC Use Only
DTSC 1772 {1/9~) Pag,
MAILING ADDRESS, IF DIFFERENT:
s'rm _t i 0 %'-t0 t ZD t, 4¢ tv'
ST^ V zip c 033 -__
COUNTRY
(only co~le~ if ~ USA)
CO~A~ PERSON ~1 L~} [ ~ PHONE NUMBER(~ )~ -~aOO.
~ N~) ~ N.~)
III. TYPE OF COMPANY: STANDARD INDUSTRLtS, L CLASSIFICATION (SIC) CODE:
Use either one or two SIC code~ (a four digit number) that best describe your company's products, services, or industrial activity.
Example: 7384 Phot°fini~ng lab $672 Printed circuit boards
IV. PRIOR PERMIT STATUS: Oreck yes or no to each question:
YES NO
· _ F-I · 1. Did you file a PBR Notice of Intea~t to Operate (DTSC Form 8462) in 1992 for thislocation?
[~ 2. Do You now have or have you ever held a state or federal br.~nious waste facility full permit or interim
status for any of these treatment m~its?
B [~ 3. Do you now have or have you ever held a state or federal full permit or interim-status for any other
hazardous waste activities at this l~.ation?
[~ 4. Have you ever held a variance issued by the Department of Toxic Substances Control for the treatment you
a~ now notifying f6r at this locati.on?
[--I D 5. Has this location ever been inspected by the state or any local agency as a hazardous waste generator?.
V. PRIOR ENFORCEMENT m~qTORY: Not req~i~ g~rator~ only noMfy/ng
YES NO
[~! [~ Withl. the last three years, has this facility been the subject of any convictions, judgments, settlements, or final
orders resulting' from an action by any local, state, or federal environmental, hazardous waste, or public health
enforcement agency?
(For. the purl~osea of this form, a notice of violation does not constitute an order and need not be reported.unless
it was not corrected and became a final orqer.)
[-'l ' If you answered Yes, check this box and att~a:h a listing of convictions, judgments, settlements, or orders and a copy
of the cover sheet from each document. (See the Instructions for more information)
DTSC 1772 0/93) Page 2
EPA ID NUMBER ~ t
VI. ATTACHMENTS:
l~ 1. A plot plan/map detailing the location(s) of the covered unit(s) in relation to the facility boundaries.
~r] 2. A unit 'specific notification form for each unit to be covered at this location.
VII. CERTIFICATIONS: This form must be signed by an authorized corporate officer or any other person in the company who
has operational control and performs decision-malting functions that govern operation of the facility (per title 22, California
Code of Regulations (CCR) section 66270.11). All ~Otree copies rn~ have original Mgnattn'~.
Waste Minimization I certify that I have a program in place: to reduce the volume, quantity, and toxicity of waste generated to the
degree I have determined to be economically practicable and that I have selected the practicable method of treatment, storage, or
disposal currently available to me which minimizes the preseat and furore threat to human health and the environment.
Tiered Permittin~ Certifigation I certify that the unit or un/ts described in the~ documents meet the eligibility and operating
requirements of state statutes and regulations for the indicated permitting tier, including generator and secondary containment
requirements. I understand that if any of the units operate under Permit by Rule or Conditional Authorization, I will also be required
to provide required i%nncial assurancea by January l, 1994, and conduct a Phase I environmental asse~nnent by January l, 1995.
I certify under penalty of law that this document and all attaclhxnents were prepared under my d/rection or supervision in accordance
w/th a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry
of the person or persons who manage the system, or those directly responsible for gathering the information, the information is, to
the best of my knowledge and belief, true, accurate, and complete.
I am aware that there are substantial penalties for submitting: false information,~ including the possibility of fines and imprisonment
for knowing violations.
Date Si~gned' /
OPERATING REQUIREMENTS:
Please note that generators treating hazardous waste onsite are required to comply with a number of operating requirements which
differ depending on the tier(s) under which one operates. These operating requirements are set forth in the statutes and regulations,
some of which are referenced in the Tier-Specific Factsheet&
SUBMISSION PROCEDURES:
You must submit two copies of this completed notification by certified mail, return receipt requested, to:
Deparzment of Toxic Substances Control
Form 1772
Onsite Hazardous Waste Treatment Unit
400 P Street, 4th Floor (walk in only)
P.O. Box 806
Sacramemo, CA 95812-0806.
You must also submit one eol~ of the notification and attact~nents to the local regulatory agency, in your j~isdiction as listed in the
instruction material, r. You must al~o retain a copy as part of your operating record.
,4ll three forms must have original signatures, not photocopies.
DT$C 1772 (1/9:3) Page 3
Date:~lq0 HAZARDOUS MATERIALS MANAGEMENT DIVISION
Thomas ~ros. SITE MAP
Coordinates:
Business Name: l~c,,~o ~ £ho~q~'~ ~' ~mergency Coordinator: ~.
Business Address: 3tol %~1~0~ ~ Phone Number (day) (ffO~_) 5 2 4 -Ovo~ 24/hr: ~3~q~ ,,
CONDITIONALLY EXEMPT - SPECIFIED WASTESTREAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 25201.5(c))
NL~IBER OF TREATMENT DEVICES: '2_., Tank(s) Container(s)
Each unit must be clearly identified and labeled on the plot' plan mtached to Form 1772. ASSign your own unique number to each
unit. The number can be sequential (1, 2, 3) or using any system you choose.
Enter, the estimated monthly total volume of hazardous was, re treated by this unit. ThLr should be the maximum or highest amount
tremed in any month. Indicate in the narrative (Section II) if your operations have seasonal variations.
I.. WASTESTRE~ AND TREATMENT PROCESSES:
Estimated Monthly Total Volume Treated: pounds and/or ~. 0 L~ gallons
The following are the eligible wastestreams and treatment processe~. Please check all applicable boxes:
FI 1. Treats resins mixed in accordanc~ with th,~ manufacturer's instructions.
Fl 2. Treat containers of 110 gallons or less capacity that contained hazardous waste by rinsing or physical process~,.
such as crushing, shr~ding, grinding, or puncturing.
Fl 3. Drying special .wastes, as classified by the department pursuant to title 22, CCR, section .66261.124, by pressing
· or by passive Or heat-aided evaporation to remove water.
Fl 4. Magnetic separation or scn~euing to remove components from special waste, as classified by the department pursuant
to title 22, CCR, section 66261.124.
Fl 5. Neutrali~ acidic or alkaline (base) wastes fi'om the regeneration of ion exchange media used to deminerali:,~ water.
O]ais. wasto cannot contain more than 10 percent acid or base by weight to be eJigible for conditional exemption.)
i-'il I~..~..____h---~ Neutralize acidic or alkaline (base) wastes from the food proceeaing industry.
Recovery of silver from photofinishing. 'II~e volume limit for conditional exemption is 500 gallons per generator
(at the tame location) in any calendar mortth.
8. Gravity separation of the following, including the use of flocculants and demulsifiers if
Fl a. The settling of solids from the w~mte where the resulting aqucous/liquid stream is not hazardous.
Fl b. The separation of oil/water mixtures and separation sludges, if the average oil recovered per month is less
than 25 barrels (42 gallons per barrel).
Fl 9. Neutralizing acidic or alkaline (base) material by a state certified laboratory or a laboratory operated by an
educational institution. (To be eligible for conditional exemption, this waste cannot contain more than 10 percent
acid or base by weight.)
/
DTSC 1772B (1/93) Page 9.
CONDITIONALLy 'E~.,M].:q' - sPECIFIED W~AMS
UNIT SPEC]FIC NOTIFICATION
(pursuant to Health and Safety Code Sectiou 25201.$(c))
II. NARRATIVE DESCRIPTIONS: Provide a brief description of the specific waste treated and the treatment process used.
1. SPECIFIC WASTE TYPES TREATED:
m. RESIDUAL MANAGEMENT: Check Yes or No t° each question as it applies to all residuals from this treatment unit.
.YES NO
[~] [--! 1. Do you discharge non-hazardous aqueous waste to a publicly owned treatment works (POTW)/sewer?
l'-I [~! 2. Do you discharge non-hazardous aqueous waste under an NPDES permit?
l~ '[~] 3. Do you have your residual hazardous ~raste .hauled offsite by a registered hazardous waste hauler?
If you do, where is the wasto sent?. Ched: all that apply.
[~ · a. Offsite recycling
r"[ b. · Th~al treatment :
[-'[ c. Disposal to land
r'] d. Further treatment
~! [~ 4. Do you dispose of non-haTardous solid waste residues at an offsite location?
i-'! s. other metho of .
IV. BASIS FOR NOT NEEDING A FEDERAL PEP,3.~vflT:
In order to demonstrate eligibility for one of the onsite treatm~,,nt tiers,facilities are required to provide the basis for determining that
a hazardous waste permit is not required under the feder~d Resource Conservation and Recovery Act (RCRA) and the federal.
regulations adopted under RCRA ('I~tle 40, Code of Federal Regulations (CFR)}.
Choose the reason(s) that describe the operation of your onsite treaiment units:
[-'i 1. The ha?nrdous waste being'treated is not a hazardous waste under federal hw although it is regulated as a haTardous
~ ~"~ waste under California state law. -
~[~i 2. ~Tho waste is treated'in wastewater treatmen.t uni~s (tanks), as defined in 40 CFR Part 260.10, and discharged to a
~ ~ublicly owned treatment works (POTW)/sewering agency or under an NPDES permit. 40 CFR 264. l(g)(6) and
'x~~~ CFR 270.2. .
DTSC 177211 (I/9~) ':-: .'~ · Pag* I0
CONDITIONALLY EXEMPT - SPECIFIED WASTF_,STREAMS
UNIT SpE¢"IFIC NOTIFICATION
(pursuant to Health and Safety Code Section 25201.5(c))
IV. BASIS FOR NOT NEEDING A FEDERAL PEI~,'ffF: (continued)
I-=l 3. The waste is treated in elementary neutndization units, as defined in 40 CFR Part 260.10, and discharged to a
POTW/sewering agency or under an NPDES permit. 40 CFR 264.1(g)(6) and 40 CFR 270.2.
!l'l 4. The waste is treated in a totally enclosed treatment facility as defined in 40 CFR Pa~ 260.10; 40 CFR 264. l(g)(5).
['-] 5. The company generates no more than 100 kg (approximately 27 gallons) of b~-~ntous waste in a calendar month
and is eligible as a federal conditionally ~:xempt.small quantity generator. 40 CFR 260.10 and 40 CFR 261.5.
[-'i 6. The waste is treated in an accumulation tank or container within 90 days for over 1000 kg/month generators and
180 or 270 days for generators of 100 to 1000 kg/month. 40 CFR 262.34, 40 CFR 270. l(c)(2)(i), and the Preamble
to the March 24, 1986 Federal Register.
[--] 7. Recyclable materials are reclaimed to recover economically significant amounts of silver or other precious metals.
40 CFR 261.6(a)(2)(iv), 40 CFR 264. l(g)(2), and 40 CFR 266.70.
[--I 8. Empty container rinsing and/or treatment. 40 CFR 261.7.
V. TRANSPORTABLE TREATMENT UNIT: Check Yes or No. Please refer to the lastruction~ for more information.
YES NO
['-[ [~ Is this unit a Transportable Treatment U:ait?
If you answered yes, you must also co:nplete and attach Form 1772E to this page.
The Tier-Specific Factsheets contain a, summary of the operating requirements for this category.
Please review those requirements carefully before completing or submitting this notification package.
DTSC 1772B (1/93) Page 11
ONSITE W TE NOTI CATION.FO
FACIL~ SPECIFIC NO~FICA~ON
For U~ by H~o~ W~te G~e~to~ Pc~o~g T~tment ~ ~tial
Under Conditio~ Exemption ~d Conditio~ Au~oh~tion, ~ Rcvi~
~d by Pe~t By RuDe F~iliti~
P~e r~ to t~ ~a&~ l~t~aio~ ~ore ~mp~ing th~ fo~. You ~ ~t~ for ~re
~t~c~ion fo~, D~C 1 ~. You m~t mta& a se~e ~it s~dfic ~t~ion fo~ for ea& u~t ~ th~ ~cmio& ~e ~e
d~ent unit s~c~c not~ion fo~ for ca& of&e four ~e$o~ ~ ~ ~itio~l ~t~ion fo~ for ~~ ~e~nt
units ~'s). You only ~ to s~mit fJ~ for t~ ti~i~) t~ ~ ~ ~it($). D~ or re~c~ t~ ot~ ~ fo~.
N~ ~ ~ge of ~ ~mp~ ~t~ion ~ge ~ ~e t~ totM n~ of ~g~
'Page ~ of __k P~ ~ur EPA ~ N~ on ca& ~;g& P&~e pm~e
compla~ ~t t~se t~ stme 'g d~em' or 'g a~i~5 P~e
~ ~t~n will ~t ~ ~~ wmp~e witho~ pc~em oft~ ~prop~efeefor ea~ ti~ ~ whi~ ~u ~ o~min&
L N~CATION CA~GO~
A. ~ao~y ~~ ~fi~ Trot (Fo~ D~C 1~) $
by Rac /d ~' ~:~= DTSC IV~) $1,1~
D.
P~t
A~h~ $ ~
H. G~TOR ~~CA~~~~- '~,~o ~
DTSC i772 (1/93) Page 1
crrv SXAW V ZaP C 053 -
CO~Y
(o~y co~lc~ if ~ USA)
W~ N~) ~ N~)
1TI. TYPE OF CONI~ANY: STANDARD INDUSTRI3tL CLASSIYICATION (SIC) CODE:
Use either one or two SIC codes (a four digit number) that best describe your company's produe~s, services, or industrial activity.
Ezample: ?~t84 photo~nisldng lab 3672 Printed circuit boards
IV. PRIOR PERMrr STATUS: Check yes or no to t,~ch questio~'
YES NO
E! .'[E(
· .. 1. Did you file a PBR Notice of Intent to Operate (DTSC Form 8462) in 1992 for this'location?
ri ~ 2. Do you now have or have you ev,.-r held a state or fedex'al hazardous waste facility full permit or interim
status for any of these treatment units?
r'! [~ 3. Do you now have or have you ester held a state or federal full permit or interim .status for any other
hazardous wast~ activities at this l[ocation?.
[==! [~ 4. Have you ever held a variance issued by the Department of Toxic Substances Control for the treatment you
ar~ now notifying f6r at this location?
l"'1 r-I 5. Has this location ever been instxx:ted by the state or any local agency as a haTardous waste generator?
V. PRIOR ENFORCEMENT mgTORY: Not req~dr~from generator~ only notifying a~ oonditionally gxtmpt.
YES NO' ''
El [~ Within the last three years, has this facilky been the subject of any convictions, judgments, settlements, or final
orders resulting from an action by any lo'al, state, or federal environmental, h-~ardous waste, or public health
enforcement agency?
(For. the purposes of this form, a notice of violation does not constitute an order and need not be reported unless
it was not corrected and became a final order.)
El If you answered yes, check this box and attach a listing of convictions, judgments, scttlcmcnts, or orders and a copy
of the cover sheet from each document. (Sec thc Instructions for mor~ information)
DTSC 1772 (1/93) Page 2
VI. ATTACHMENTS:
[~ 1. A plot plan/map detailing the location(s) of the covered unit(s) in relation to the facility boundaries.
{~] 2. A unit specific notification form for each tutit to be covered at this location.
CERTI~CATIONS: This form mu~t be signed by an authorized corporate o~cer or any other person in the company who
has operational control and performs decision-making functions that govern operation of the facility (per title 22, California
Code of Regulations (CCR) xection 66270.11). Ail iO~ree copiex ttutxt have original signature.
Waste Minimization I certify that I have a program in place: to reduce the volume, quantity, and toxicity of waste generated to the
degree I have determined to be economically practicable and that I have selected the practicable method of treatment, storage, or
disposal currently available to me which mlnimiZe$ the pre$~,~! a~d furore threat to human health and the environment.
Tiered Permittin~ Certific~..tion I certify that the unit or units described in these documents meet the eligibility and operating
requirements of state statutes and regulations for the indicated permitting tier, including generator and secondary containment
requirements. I understand that if any of the units operate under Permit by Rule or Conditional Authorization, I will also be required
to provide required financial assurances by January I, 1994,. and conduct a Phase I environmental assessment by January 1, 1995.
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry
of the person or persons who manage the system, or those directly responsible for gathering the information, the information is, to
the best of my knOwledge and belief, true, accurate, and colmplete.
I am aware that there axe substantial penalties for submitting false information, including the possibility of fines and imprisonment
for knowing violations.
Date ~ned / '
OPERATING REQUIREMENTS:
Please note that generators treating hazardous waste onsite are required to comply with a number of operating requirements which
differ depending on the tier(s} under which one operates. ~hese operating requirements are set forth in the statutes and regulations,
some of which are rOeerenced in the 2~er-Specific Fac~rheets.
SUBMISSION PROCEDURES:
You must ~ubn~t two copi~ of this completed notification ~ certified mail, return receipt requested, to:
Department of Toxic Substances Control
Form 1772
Onsite Hazardous Waste Treatment Unit
400 P Street, 4th Floor (walk in only)
P.O. Box 806
Sacramento, CA 95812-0806.
You must al~o ~ one COl~ of the notification and attachments to the local regulatory agency, in your jurisdiction as listed in the
instruction material~. You must al~o retain a copy as part of)our operating record.
All three forrm must have original signatures, not photocopies.
DTSC 1772 (I/93) Page 3
h
Date: 2. lq~ HAZARDOUS MATERIALS MANAGEMENT DIVISION
Thomas ~ros. SITE MAP
Coordinates:
Business Name: I'.o,Octo ~ £~o~q~'~ ~' Emergency Coordinator: .J.
................................Business. 5~[?S~ ~to~ Cml~0~ ~ Phone Number (day) (~0~ 5z 4 -Orr)3 24/hr: ..~3~q~
CONDITIONALLY EXEMPt - SPECIFIED WASTESTREAMS
UNIT sPEC]:FIC NOTIFICATION
(pursuant to Health and Safety Code Section 25201.5(c))
UNIT NAME ,.~1'1¢¢v' ~e~dv¢~'.~ '~/5~/~,t UNIT ID NUMBE.R ~ /
NUMBER OF TREATMENT DEVICES: ~ If'aRk(s) Container(s)
Each unit must !~ ¢l~rly identified and labeled on the plot,pl~, attached to Form 1772. ASsign your o.,n unique number to each
unit. Th¢ nund~r can b¢ sequential (I, 2o 3) or using any -,ystem you choose.
Enter the ¢stimated monthly total volume of hozardous wast,~ treated by this unit. This should b~ the maximum or highest amount
treated in any month. Indicate in the narrative (S~ction II) if your operations have seasonal variations.
L. WAffrESTREAMS AND TREATMENT PROCESSES:
Estimated Monthly Total Volume Treated:__ pounds aud/or '~ 0 ~ gallous
Th~ following are th¢ eligible wastgstreams and treatn~n(, procgssgs. Please ch~ctc all applica&l¢ boxes:
1-'1 1. Treats resins mixed in accordance with the'. manufacturer's instructions.
[-'1 2. Treat containers of I I0 gallons or le~s capacity thai contained h,,--rdous .was~ by rinsing or physical processes,.
such as crushing,, shredding, grinding, or puncturing.
["'[ 3. Drying special .wastes, as classified by the department pursuant to title 22, CCR, section 66261.124, by pressing
-or by passive Or heat-aided, evaporation to re. move water.
[--1 4. Magnetic separation or scr~aing to remove; components from special waste, as classified by the department pursuant
to rifle 22, CC'R, section 66261.124.
~1 5. Neutralize acidic or alkaline (base) wastes from the regeneration of ion exchange media used to demlneralize water.
(This,waste cannot contain more than 10 {gtc, eat acid or base by weight to bo eligible for conditional eXemption.)
D 6. Neutmliz~ acidic or alkaline (base) waste; from the food processing industry.
[~ 7. Recovery of silver from photofinishing. '['he volume limit for conditiotml exemption is 500 gallons per generator
(at the same location) in any calendar month.
8. Gravity separation of the following, including the use of flocculants and demulsifiers if
[-'[ a. The settling of solids from the waste where the resulting aqueous/liquid stream is not h~,~rdous.
D b. The separation of oil/waler mix,ires and separation sludges, if the average oil recovered per month is less
than 25 barrels (42 gallons per barrel).
D 9. Neutralizing acidic or alkaline (base) material by a state certified laboratory or a laboratory operated by an
educatiomd institution. (To be eligible for conditional exemption, this waste cannot contain more than I0 percent
acid or baso by weight.)
DTSC 1772B (1/93) Page 9.
CONDrrION~LI-Y/EXEMI~T - SPECIFIED WASTESTREAMS
UNIT SPECIFIc NOTIFICATION
(pursuant to Health and Safety Code Section 25201.5(c))
II. NARRATIVE DESCRIPTIONS: Provide a brief description of the specific waste treated and the treatment process used.
1. SPECIFIC WASTE TYPES TREATED:.hC///00~,~
III. RESIDUAL MANAGEMENT: Check Yes or No to each question as it applies to all residuals from this treatment unit.
YES NO
[~ [~! I. Do you discharge non-hazardous aquoous waste to a publicly owned treatment works (POTW)/sewer?
[--I ~! 2. Do you discharge non-b~,'dous aqucx)us waste under an NPDES permit?
[~ '[--i 3. Do you have your residual b~rdous waste .hauled offsite by a registered hazardous waste hauler?.
If you do, where is the waste: sent?. Ched: a//that app/y.
a. Offsite recycling
[-"] d. Further treatment
F'] ~ 4. Do you dispose of non-ha-ardous solid waste residues at an offsite location?
[-] [~ $. Other method of disposal. Specify:
IV. BASIS FOR NOT NEEDING A FEDERAL PERMIT:
In order to demonstrate eligibility for one of the onsite treatment tiers,facilities are required to provide the basis for determining that
a hazardous waste permit is not required under the federal Resource Conservation and Recovery Act (RCRA) and the federal
regulations adopted under RCRA (Iitle 40, Code of Federal Regulations (CFR)).
Choose the reason(s) that describe the operation of your onsite treahnent units:
[--! 1. The hazardous waste being treated is not a hazardous waste under federal law although it is regulated as a haTardous
waste under California state law.
~l 2. The waste is treated in wastewater treatment units (tanks), as defined in 40 CFR Part 260.10, and discharged to a
publicly owned treatment works (POTW)/sewering agency or under an NPDES permit. 40 CFR 264. Ii, g)(6) and
40 CFR 270.2.
DTSC 1772B (1/93) ':.:.-= :' Pago 10
EPAID NUMBER ~ f)t~)[~/:~¢C~.L'' Page~ of~
CONDITIONALLY EXEMPT - SPECIFIED WASTESTREAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 25201.5(c))
IV. BASIS FOR NOT NEEDING A FEDERAL PEPd¥1IT: (continued)
['-] 3. The waste is treated in elementary neutralization units, as defined in 40 CFR Part 260. I0, and discharged to a
POTW/sewermg agency or under an NPDES permit. 40 CFR 264.10g)(6) and 40 CFR 270.2.
D 4. The waste is treated in a totally enclosed treatment facility as defined in 40 CFR Par~ 260.10; 40 CFR 264.1 (g)(5).
['-] 5. The company generates no more than 100 kg (approximately 27 gallons) of hazardous waste in a calendar month
and is eligible as a federal conditionally exempt small quantity generator. 40 CFR 260.10 and 40 CFR 261.5.
~] 6. The waste is treated in an accumulation tank or container within 90 days for over I000 kg/month generators and
180 or 270 days for generators of 100 to 1000 kg/month. 40 CFR 262.34, 40 CFR 270. l(cX2)(i), and the Preamble
to the March 24, 1986 Federal Register.
D 7. Recyclable materials are reclaimed to re, aver economically significant amounts of silver or other precious metals.
40 CFR 261.6(a)(2)(iv), 40 CFR 264. l(g)(2), and 40 CFR 266.70.
F-[ 8. Empty container rinsing and/or trtmtmenl:. 40 CFR 261.7.
V. TRANSPORTABLE TREAT1V[ENT UNIT: Oieck Yez or No. Please refer to the Instructions for more information.
YES NO
['-] [~] Is this unit a Transpo~le Treatment Unit?
If you answered yes, you must also complete and attach Form 1772E to this page.
The Tier-Specific Factsheets contain a summary of the operating requirements for this category.
Please review those requirements carefully before completing or submitting this notification package.
DTSC 1772B (1/93) Page 11
STATF~%~F
CALIf~ORNIA--CALIFORNIA ENVIR~TAL PROTECTION AGENCY PETE WILSON, Governor
DEPARTMENT OF TOXIC SUBSTANCES CONTROL ~
400 P STREET. 4TH FLOOR
P.O. BOX 806
SACRAMENTO, CA 95812-0806
(916) 323-5871
October 5, 1995
EPA ID: CAL000126996
COSTCO WHOLESALE #32/BAKERSFIELD
GLEN HUTCHINSON Initial Authorization: 05/25/94
10809 120TH AVE NE Amendment Date: 04/24/95
KIEKLAND, WA 98033
For facility located at:
3101 GILMORE AVE
BAKERSFIELD, CA 93308
Dear Onsite Treatment Facility:
The Department of Toxic Substances Control (DTSC} has received your
facility specific Amended notification (form DTSC 1772). Your
notification is administratively complete, but has not been reviewed
for technical adequacy. A technical, review of your notification will
be conducted when an inspection is performed. At any time, you may be
inspected and will be subject to penalty if violations of laws or
regulations are found.
The Department acknowledges receipt of your completed Amended
notification for the treatment unit(s) listed on the last page of this
letter. These units are authorized by California law without additional
Department action. Your authorization to operate continues until you
notify DTSC that you have stopped treating waste and have fully closed
the unit(s). DTSC has revised its database records to reflect your
status and has notified the Board of Equalization (BOE). You will be
billed annual fees by BOE calculated on a calendar year basis for each
· year you operate and/or have not notified DTSC that the units have been
closed'.
If you have any questions regarding this letter, Or have questions
on operating requirements for your facility, please contact the nearest
DTSC regional office,· or this office at the letterhead address or
telephone number.
~cerely,
~Sangat Kals, PH.D., Chief
Tiered Permitting Compliance Section
.State Regulatory Program Division
cc: See next page.
Printed on Recycled Paper.
STATE~O~:cALII~DRNIA--CALIFORNIA ENVIROt ~'~ ITAL PROTECTION AGENCY PETE WILSON, Governo,
DEPARTMENT OF TOXIC~UBSTANCES CONTROL ~
400 P STREET, 4TH FLOOR
P.O. 8OX 806
SACRAMENTO, CA 95812-0806
COSTCO WHOLESALE #32/BAKERSFIELD EPA ID:. CAL000126996
Page 2
ASTRID JOHNSON S]%VE MCCALLEY
DTSC REGION 1 F~IRN COUNTY
STATE REGULATORY PROGRAM E[~IRON. HEALTH SERVICES DEPT
1515 TOLLHOUSE 2700 M STREET, SUITE 300
CLOVIS~ CA 93611 B~ERSFIELD~ CA 93301
STATE BOARD OF EQUALIZATION
STEPHEN R. RUDD, ADMINISTRATOR
ENVIRONMENTAL FEES,.DIVISION
P.O. BOX 942879 ~
SACRAMENTO, CA 94279-0001
Units. authorized to operate at this location:
UNDER CONDITIONAL EXEMPTION= #1